5 |
Reduce and Control Utilization of Certified Home Health Agency Services |
Completed |
6 |
Reduce Medicaid Managed Care and Family Health Plus Profit (from 3% to 1%) |
Completed |
10 |
Eliminate Direct Marketing of Medicaid Recipients by Medicaid Managed Care Plans |
Completed |
11 |
Bundle Pharmacy into MMC |
Completed |
13 |
Preschool/School Supportive Health Services Program (SSHSP) Cost Study |
Completed |
14 |
Restructure Reimbursement for Proprietary Nursing Homes |
Completed |
15 |
Comprehensive fee-for-service pharmacy reform |
Completed |
1 |
Reduce fee-for-service dental payment on select procedures |
Completed |
21 |
Streamline the Processing of Nursing Home Rate Appeals |
Completed |
24 |
Payment for Enteral Formula with Medical Necessity Criteria |
Completed |
25 |
Remove Physician Component from Ambulatory Patient Group (APG) Base Rates |
Completed |
26 |
Utilization Controls on Behavioral Health Clinics |
Completed |
29 |
Reduce Transportation Costs through Regional Management Recommended Targeted Fee Actions |
Completed |
30 |
align Payment for Prescription Footwear with Medical Necessity |
Completed |
31 |
Eliminate worker recruitment and retention |
Completed |
34 |
Establish Utilization Limits for PT, OT, and Speech Therapy/Pathology |
Completed |
37 |
Eliminate Case Mix Adj for AIDS Nursing Svcs in CHHA and LTHHCP Programs |
Completed |
42 |
Limit MA coverage for compression stockings to the MC criteria, include coverage during pregnancy. |
Completed |
49 |
Reimburse Art 28 clinics for HIV counseling/testing using APGs |
Completed |
54 |
Adjust 340B Drug payment in 340B-eligible clinics via Ambulatory Patient Groups (APGs) |
Completed |
55 |
Increase coverage of tobacco cessation counseling |
Completed |
60 |
Delink Workers Compensation and No Fault Rates from Medicaid |
Completed |
61 |
Home Care Worker Parity - CHHA / LTHHCP / MLTC |
Completed |
67 |
Assist Preservation of Essential Safety-Net Hospitals, Nursing Homes and D&TCs |
Completed |
68 |
Repatriate Individuals in out of state placements |
Completed |
69 |
Uniform Assessment Tool (UAT) for LTC |
Completed |
70 |
Expand current statewide Patient-Centered Medical Homes (PCMH) |
Completed |
82 |
Reduce Reimbursement for Hospital Acquired Conditions and Potentially Preventable Conditions |
Completed |
83 |
Expand SBIRT for alcohol/drug to hospital clinic, DTC and office settings. |
Completed |
89 |
Implement Health Home for High-Cost, High-Need Enrollees |
Completed |
90 |
Mandatory Enrollment in MLTC Plans/Health Home Conversion |
Completed |
93 |
Establish behavioral health organizations to manage carved-out behavioral health services |
Completed |
101 |
Develop Initiatives to Integrate and Manage Care for Dual Eligibles |
Merged #90 |
102 |
Centralize Responsibility for Medicaid Estate Recovery Process |
Completed |
103 |
Reduce Inappropriate Use of Certain Services |
Completed |
109 |
Require Hospitals and Nursing Homes to provide Patient Centered Palliative Care |
Completed |
116 |
Accelerate IPRO Review of Medically Managed Detox (Hosp) |
Completed |
129 |
State Authority to Supervise Integration of Health Services and Providers to Minimize Anti-Trust Exposure |
Completed |
131 |
Reform Medical Malpractice and Patient Safety |
Completed |
132 |
Expand the Definition of Estate |
Completed |
133 |
Administrative Renewal for Aged and Permanently Disabled |
Completed |
134 |
Audit Cost Reports (rather than certification) |
Completed |
137 |
Disregard retirement assets such as 401K plans for MBI-WPD |
Completed |
139 |
Implement the new waiver for LTHHCP |
Completed |
141 |
Accelerate State Assumption of Medicaid Program Authorization |
Completed |
144 |
Eliminate Duplicative Behavioral Health Hosp Surveys |
Completed |
147 |
Eliminate or modify unnecessary regulations and improvements for capital access |
Completed |
150 |
Develop an Automated Exchange/Medicaid Eligibility System |
Completed |
153 |
Develop innovative telemedicine applications by reducing regul. barriers and providing $ incentives |
Completed |
154 |
Enhance and improve the State's Medicaid program integrity efforts. |
Completed |
164 |
align Medicare Part B clinic coinsurance with Medicaid coverage and rates |
Completed |
191 |
Decrease the Incidence and Improve Treatment of Pressure Ulcers |
Completed |
196 |
Supportive Housing Initiative |
Completed |
200 |
Change in scope of practice for mid-level providers to promote efficiency and lower Medicaid costs. |
Completed |
209 |
Expand Hospice |
In Progress |
217 |
Create an office for development of patient-centered primary care initiatives |
Completed |
243 |
Accountable Care Organizations (ACOs) |
Completed |
889 |
Redesign NYS bed hold policy for nursing homes. |
Completed |
990 |
Adjust Reimbursement Rates to Support Efforts to Address Health Disparities |
Completed |
1021 |
Facilitating Co-Located physical health/behavioral health/developmental disability services |
Merged #89 |
1029 |
Enrollment and Retention Simplification |
Merged #133 |
1032 |
Establish a Housing Disregard as Incentive to Join MLTC |
Completed |
1058 |
Maximize Peer Services |
Completed |
1116 |
Apply 60 Month Look Back Period to Non-Institutional LTC |
Completed |
1172 |
Nursing Home Sprinkler Loan Pool |
Completed |
1427 |
Allow consumer direction in MLTC; provide regulatory framework for CDPAP |
Merged #90 |
1434 |
Convert a portion of Family Planning grants to Medicaid rate reimbursement |
Completed |
1451 |
Establish various MRT workgroups |
Completed |
1458 |
Managed Care Population and Benefit Expansion, Access to Services, and Consumer Rights |
Merged #8401 |
1462 |
LTC insurance proposals |
Completed |
4153 |
Expanded Pharmacy Reimbursement Controls |
Completed |
4155 |
Eliminate Long Term Care Assessment Center Funding |
Completed |
4156 |
Mitigate Negative Provider Impacts from Implementing Nursing Home Rebasing |
Completed |
4647 |
Expand Managed Addiction Treatment Program (MATS) |
Merged #89 |
4648 |
Family Planning Benefit Program as a State Plan Service |
Completed |
4651 |
Global Spending Cap on Medicaid Expenditures |
Completed |
4652 |
Reform Personal Care Services Program in NYC |
Completed |
4655 |
Expand Downstate FQHC Region |
Completed |
Follow Us